NIDAULLAH MIAN (NPI# 1700295953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700295953 |
| Entity Type | Individual |
| Full Name | NIDAULLAH MIAN |
| Credential | M.D. |
| Practice Address |
4811 Ambassador Caffery Pkwy Ste 401b Lafayette LA 70508-7265 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 3374704978 |
| Practice Fax Number | 3374704238 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
324404 | LA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
BP10063913 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6410 Fannin St Ste 1014, Houston, TX 77030 | 8323257080 |
| Street Address |
4811 AMBASSADOR CAFFERY PKWY STE 401B |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-7265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972864676 | Sarosh Naz Zafar | Plastic Surgery | 4811 Ambassador Caffery Pkwy Ste 401b, Lafayette, LA 70508 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548826803 | Brainwire LLC | Psychiatry & Neurology | 128 Keeneland Ln, Lafayette, LA 70503-6213 | 2019-05-13 |
| 1518385137 | Jonathan Kahn Jones | Psychiatry & Neurology | 4809 Ambassador Caffery Pkwy Ste 420, Lafayette, LA 70508-8802 | 2014-04-01 |
| 1114248994 | Stanley George Strauss | Psychiatry & Neurology | 2383 Lavender Hill Ln, Lafayette, CO 80026-9387 | 2010-06-16 |
| 1982806402 | Khaled Hammoud | Psychiatry & Neurology | 975 Mezzanine Dr Ste C, Lafayette, IN 47905-8635 | 2007-06-05 |
| 1104033992 | Damon Patterson | Psychiatry & Neurology | 136 Hospital Dr, Lafayette, LA 70503-2819 | 2007-05-17 |
| 1790815322 | Albert C Lee | Psychiatry & Neurology | 3731 Rome Dr, A, Lafayette, IN 47905-4490 | 2007-03-06 |
| 1649332248 | Lafayette Health Ventures, Inc. | Psychiatry & Neurology | 155 Hospital Dr., Ste #208, Lafayette, LA 70503 | 2006-12-14 |
| 1073531257 | Samuel Horton | Psychiatry & Neurology | 3750 Landmark Dr, Suite A, Lafayette, IN 47905-6633 | 2006-07-17 |
| 1154383313 | Wael Alabdulkarim | Psychiatry & Neurology | 1144 Coolidge Blvd Ste F, Lafayette, LA 70503-2622 | 2006-04-04 |
| 1063485936 | Ernest Edward Nitka | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2006-02-09 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.